Peggy Maria Bodamer
Nurse Practitioner - Neonatal
5475 S 500 E
Ogden
, Utah 84405-6905
Peggy Maria Bodamer
Nurse Practitioner - Neonatal
5475 S 500 E
Ogden
, Utah 84405-6905
(801) 479-2560
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Peggy Maria Bodamer
- 5475 S 500 E
- Ogden, UT
- Zip : 84405-6905
- Phone : (801) 479-2560
Second Address
- Peggy Maria Bodamer
- 5475 S 500 E
- Ogden, UT
- Zip : 84405-6905
- Fax : (801) 479-2995
- Phone : (801) 479-2560
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LN0000X | Nurse Practitioner - Neonatal | 73370543102 | UT |
National Provider Identifier
| NPI | 1083229504 |
|---|---|
| Provider Name | Peggy Maria Bodamer |
| First Address | Ogden, UT 84405-6905 |
| Second Address | Ogden, UT 84405-6905 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/09/2020 |
| Last Update Date | 15/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.